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How do I fill this out?

Filling out the OTC Mail Order Form is straightforward. Begin by reviewing your current allowance and gather the necessary payment information. Follow the detailed steps outlined on the form to complete your order successfully.

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How to fill out the Over-the-Counter Products Ordering Guide?

  1. 1

    Review your monthly or quarterly allowance.

  2. 2

    Complete the OTC Mail Order Form with product selections.

  3. 3

    Include payment information if necessary.

  4. 4

    Submit the order form via mail, fax, or phone.

  5. 5

    Keep a copy for your records.

Who needs the Over-the-Counter Products Ordering Guide?

  1. 1

    CarePlus plan members who regularly use OTC products.

  2. 2

    Individuals seeking to order health-related items without a prescription.

  3. 3

    Patients with specific health needs that can be addressed through OTC products.

  4. 4

    Family members of plan holders wanting to assist with the order process.

  5. 5

    Healthcare providers advising patients on OTC product availability.

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What are the important dates for this form in 2024 and 2025?

Important dates for this form include monthly submission by the 20th and quarterly submission by the last week of March, June, September, and December for 2024 and 2025. Ensure to check your plan for specific deadlines. Staying informed will help you maximize your OTC benefits.

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What is the purpose of this form?

The purpose of this form is to facilitate the ordering of Over-the-Counter products through your CarePlus health plan. It allows members to conveniently select and purchase health products without needing a prescription. This form ensures that you can access necessary items while staying compliant with your health plan's guidelines.

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Tell me about this form and its components and fields line-by-line.

This form includes various components that are essential for placing your order correctly. Users must provide information about their OTC product selections and any relevant payment details.
fields
  • 1. Product Selection: Choose from a variety of available Over-the-Counter products.
  • 2. Payment Information: Provide payment details if the order exceeds your allowance.
  • 3. Contact Information: Submit your personal contact details for order processing.

What happens if I fail to submit this form?

Failure to submit this form may result in canceled orders or delays in obtaining your desired products. It is essential to follow the submission guidelines to avoid issues with your order.

  • Order Cancellation: If payment is not included when required, your order may be canceled.
  • Delayed Access: Incomplete submissions can lead to delays in receiving your products.
  • Loss of Allowance: Not using your full allowance may result in loss of benefits for that period.

How do I know when to use this form?

This form is used when you wish to order Over-the-Counter products through your CarePlus benefits. It should be utilized during the allowance period defined by your plan.
fields
  • 1. To Order OTC Products: Submit this form to purchase eligible OTC health products.
  • 2. During Allowance Periods: Ensure orders are placed within your plan's specified allowance periods.
  • 3. For Supplementary Health Needs: Use this form for ordering health items that support your well-being.

Frequently Asked Questions

How do I submit my OTC order?

You can submit your OTC order via mail, fax, or by calling PrescribeIT Rx directly.

What if I exceed my allowance?

If your order exceeds your allowance, include payment information to cover the extra charges.

Who can request an OTC order form?

Any CarePlus member can request the OTC order form by contacting Member Services.

When should I place my order?

Monthly orders should be placed by the 20th, while quarterly orders should be submitted the last week of the allowance period.

What happens to my unused allowance?

Any unused allowance does not roll over to the next allowance period.

Can I place an order over the phone?

Yes, you can call PrescribeIT Rx to place your order or check its status.

Are there deadlines for submitting orders?

Yes, monthly and quarterly orders have specific submission deadlines that must be followed.

How can I check my order status?

You can check your order status by calling PrescribeIT Rx during business hours.

Is there a customer service number I can call?

Yes, you can contact Member Services at 1-800-794-5907 for assistance.

What is the fax number for order submissions?

The fax number for submitting your OTC order form is 1-888-778-8384.

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